Course Application Form – Cray Valley Radio Society

Cray Valley Radio Society (CVRS) Amateur Radio Licence Course Application

For courses at 1st Royal Eltham Scout Hall, rear of 61-71 Southend Crescent, Eltham, London. SE9 2SD

N.B. courses are often oversubscribed so do not delay registering as places are only secured after receipt of this form and full payment.

Course

Course start date

Full name

Known as / Nick-name (optional)

Email address

Telephone number

Postal address

Date of birth

Gender

Pronouns

Special Requirements re. disabilities or special needs: N.B. written advice from a health or educational professional will be needed, and additional time required pre registration, for a RSGB assessment to arrange appropriate support

Under 16 years of age? Parent/guardian name, phone number and email address (see note ‡ below)

Re-sitting exam?

UK callsign (if you hold a foundation or intermediate licence)

Year first licensed (if you hold a foundation or intermediate licence)

How did you hear about this training course?

To indicate that you have read and accept the conditions below, please enter the words: I accept

What is the surname of the famous Italian credited as the 'inventor of radio' ?

Conditions

To allow CVRS to pass relevant personal information to the Radio Society of Great Britain for the purposes of radio licence examination registration in accordance with General Data Protection Regulations.
Fees are payable in advance and are non-refundable if you do not attend for any reason. In the highly unlikely event that we have to cancel a course any fees paid will be refunded in full.
‡ A parent or guardian must accompany persons under 16 unless special arrangements have been agreed in advance.
All candidates must obey the few safety rules that will be announced on the day .
If you are unable to attend any course sessions you notify us as soon as possible to avoid delays to the course.
If you are unable to attend the course at all, you notify us as soon as possible to enable any reserve candidates to be offered places.
Obtain current course book for the course taken – available from the RSGB Shop.
Email is used for all course communications.

Course Fees

Foundation licence course – £65.00

Fees include RSGB exam registration & course refreshments – please bring a packed lunch.

To see how we handle your personal data click here for our GDPR Statement (opens in new window)